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1417078981
JACQUELINE RAYE BEAN
DECATUR, GA
NPI
1417078981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY002677)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- JACQUELINE RAYE BEAN Psy.D.
1244 CLAIRMONT RD SUITE 204
DECATUR, GA 30030-1259
Phone number: 404-493-0240
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Mailing Address
-- JACQUELINE RAYE BEAN Psy.D.
841 VISTA WAY
DECATUR, GA 30033-5112
Phone number: 404-298-0794
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